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Asthma |
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Asthma drug management Did asthmatic members ages 5 to 85 take medication to control asthma as prescribed? |
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Asthma control Did people ages 5 to 85 with persistent asthma have their symptoms well controlled during the year? |
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Diabetes |
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Blood pressure control (140/90) Did diabetic members ages 18 to 75 have their blood pressure below 140/90 at their last visit? |
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Eye exams Did diabetic members ages 18 to 75 have a retinal or dilated eye exam? |
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Glucose control Did diabetic members ages 18 to 75 maintain their blood sugar level below 8 percent? |
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Monitoring kidney disease Did diabetic members ages 18 to 75 have their kidney function checked or monitored? |
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Heart disease |
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Beta blocker after heart attack Did heart-attack patients 18 or older receive beta blockers for at least six months? |
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Controlling high blood pressure Did hypertensive patients ages 18 to 85 have their blood pressure controlled (i.e., for patients 18 to 59 a BP <140/90 mm Hg, for patients 60 to 85 with a diagnosis of diabetes a BP <140/90 mm Hg or a BP <150/90 mm Hg without a diagnosis of diabetes)? |
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Mental and behavioral health |
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Depression: Adhering to medication for 12 weeks Did adult members with a new episode of depression take a prescribed drug for at least 12 weeks? |
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Follow-up after hospitalization for mental illness Were members hospitalized with a mental illness aged six and older followed up within a week of their discharge and again within a month? |
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Alcohol or drug dependence treatment initiated Did alcohol- or drug-dependent members 13 and older receive inpatient or outpatient care? |
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Follow-up after ADHD diagnosis Did children ages 6 to 12 who were newly prescribed ADHD medication have a follow-up visit within 30 days? |
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Cholesterol and blood sugar testing for youth on antipsychotic medications Did members ages 1 to 17 who were on two or more antipsychotic medications have their blood sugar and cholesterol tested? |
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First-line psychosocial care for youth on antipsychotic medications Did members ages 1 to 17 who had a new prescription for an antipsychotic medication have documentation of psychosocial care as first-line treatment? |
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Other treatment measures |
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Use of aspirin Did adults at risk for cardiovascular disease take aspirin? |
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Appropriate antibiotic use, adults with acute bronchitis Were adults ages 18 to 64 with acute bronchitis not prescribed antibiotics in the 3 days after their diagnosis, as recommended? |
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Appropriate testing and care, children with sore throat Were children ages 3 to 18 with a sore throat given strep tests and appropriately prescribed antibiotics? |
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Steroid after hospitalization for acute COPD Did members 40 and older who were hospitalized or had an ED visit for chronic obstructive pulmonary disease receive systemic corticosteroids within 14 days of discharge? |
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Bronchodilator after hospitalization for acute COPD Did members 40 and older who were hospitalized or had an ED visit for chronic obstructive pulmonary disease receive a bronchodilator within 30 days of their discharge? |
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Appropriate antibiotic use, children with colds Were children ages 3 months to 18 years with colds not prescribed antibiotics up to three days after their diagnosis, as recommended? |
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Appropriate use of imaging studies for low back pain Were imaging tests appropriately not recommended for patients with a new episode of low back pain? |
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